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Utah State Tax Commission
TC-40TB
Targeted Business Income Tax Credit
Get forms online - tax.utah.gov
Rev. 7/12
Do not send this form with your return. Keep this form and all related documents with your records.
Qualifying taxpayers may take a credit against their individual income tax, corporate franchise or income tax, or fiduciary tax. The credit
is allowed only in the taxable year for which the credit is authorized.
For information regarding how to qualify for the targeted business tax credit, contact the Governor's Office of Economic Development
(GOED), 324 S State Street, Suite 500, SLC, UT, 84111; Telephone 801 538-8804;
-
business.
utah.gov/incentives/enterprise_zones
.
Taxpayers may not claim the recycling market development zone tax credit or the enterprise zone tax credit in a year they
claim this tax credit.
Zone of eligibility
Taxable year
Name of taxpayer or business claiming credit
Telephone #
EIN or SSN
Physical street address
City
State
Zip code
State
Mailing address
City
Zip code
$
1. Maximum credit the business applicant is eligible for in this taxable year
2. Reductions in the maximum credit because of failure to comply with requirements
3. Allocated cap amount the business applicant may claim for this taxable year
4. Credit amount the business applicant may claim for this taxable year
PLEASE READ: Refer to the instructions for your INCOME TAX (TC-40), CORPORATE
TAX (TC-20 or TC-20S), or FIDUCIARY TAX (TC-41) return to determine the line number
on which you will record this credit. The credit code is "40" for all returns.
GOED Authorized signature
Date signed